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<br />APPLICAnON FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />OWNER'S N <br /> <br />P€...Tr '7 ~\.J \ C:. <br /> <br />E <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />/~Ol-. ?/IO <br />1--GTY <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL 1. D.' 6l.. 'f....:J. b - ~ '-0 000 - 0 c 1" QO ---LI cr (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED~ew Construction _Addition ----..Alteration _Repair _Install <br /> <br />_Sign <br /> <br />~ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE:~ingle Faaily <br /> <br />~M/F <br /> <br />_~ercial <br /> <br />_, of Units _M/H <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: Po... 'I K" t1t.~ ck -r lA..? <br />J. , <br />BUILDING SIZE: / C2.. X qcJ , Square Feet, 'f@4f> Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />.K.BUILDING <br />~ELECI'RlCAL <br />#ClWfICAL <br />LPLUMBING . <br /> <br />$ <br /> <br />AKP Service <br /> <br />$ <br /> <br />GAS <br /> <br />TYPE OF CONSTRUcnON: _Block _Fraae _Steel <br /> <br />FDUSHED FLOOR ELEVAnONS: <br /> <br />F'f . <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />BIJTI.DRR <br /> <br />M-r.do~ <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />:=~~ <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />.......................................... <br /> <br />PLUMBER <br /> <br />~~Q~ <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />KECHANICAL 1/ h <br />Signature ~ ~DOO~ <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />OTRRR <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />.......................................... <br /> <br />APPLlCAnOR APPIlOVEIl BY ,f;1 Md )1; ~ <br /> <br />PERMIT OFFICER. <br />